Individual provider · Type 1 NPI

Michael Shock, LICSW

Clinical Social Worker · Devils Lake, ND

NPI number 1659404556 Active

Practice location

200 Highway 2 W
Devils Lake, ND 58301-3532

Fax (701) 665-2300

Mailing address

PO Box 650
Devils Lake, ND 58301-0650

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X4694 (ND)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1659404556

Michael Shock, LICSW's National Provider Identifier is 1659404556, issued on Mar 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Devils Lake, ND. The record was last updated on Oct 27, 2017.